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FIR2024-0094_Application_9.30.2024_9.52.50_AM_4530940CITY OF EDMONDS M BuildingPermit.com Fire Application #1554697 - Edmonds Medical Plaza Applicant First Name Last Name Company Name Charity Odushkin Guardian Security Number Street Apartment or Suite Number E-mail Address 1501 Kentucky codushkin@guardiansecurity.com City State Zip Phone Number Extension BELLINGHAM WA 98229 (425) 200-2724 Contractor Company Name GUARDIAN SECURITY SYSTEMS INC Number Street Apartment or Suite Number 1743 1st ave s City State Zip Phone Number Extension Seattle WA 98134 (206) 622-6545 (425) 200-2724 State License Number License Expiration Date UBI # E-mail Address GUARDSS2331<5 9/30/2026 FDD1 Rg667 codushkin@guardiansecurity.com Project Location Number Street Floor Number Suite or Room Number 21616 76TH AVE W n/a n/a City Zip Code County Parcel Number EDMONDS 98026 00461000100101 Associated Building Permit Number Tenant Name Edmonds Medical Plaza Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name HR ACQUISITION I CORPORATION Number Street Apartment or Suite Number PO BOX 92129 City State Zip SOUTHLAKE TX 76092 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 9/30/2024 Submitted By: Charity Odushkin Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1554697 - Edmonds Medical Plaza Project Contact Company Name: Guardian Security Name: Charity Odushkin Email: cdushkin@guardiansecurity.com Address: 1501 Kentucky Phone #: (425) 200-2724 BELLINGHAM WA 98229 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Alarm Project Name: Edmonds Medical Plaza Description of Work: Install qty: 3 tamper switches on existing fire system Project Details Fire System Counts Number of Devices 3 Valuation Fair Market Value of Work $5,000 Type of Work Other Panel or Power Supply The work does not involve a new fire alarm panel or power supply Contact Information Owner Email Address Install qty: 3 tamper switched to monitor sprinkler system on existing fire panel Page 2 of 2